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IMPLANT & PERIODONTIC SPECIALISTS OF PUEBLO
NPI 1154970366
Dentist - Periodontics in Pueblo, CO

Active since September 10, 2019
2041 PEPPER LN, PUEBLO, CO 81005(719) 696-9009 Get Directions Write a Review

NPPES record last updated: November 12, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 12, 2020, Sep 10, 2019 (2 updates tracked since 2019).

About Implant & Periodontic Specialists Of Pueblo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IMPLANT & PERIODONTIC SPECIALISTS OF PUEBLO (NPI 1154970366) is a healthcare organization registered as a periodontics in Pueblo, Colorado and active in the NPI registry since September 2019. The organization lists Michael Robert Herrera, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1154970366
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameEDEN DENTAL PUEBLO PC
Location Address2041 PEPPER LNPueblo, CO 81005-3276
Mailing Address2041 Pepper LnPueblo, CO 81005-3276 · (719) 696-9009
Phone(719) 696-9009
Organization SubpartNo
Authorized OfficialMichael Robert HerreraBusiness Manager · (760) 978-8527
Enumeration DateSeptember 10, 2019
Last NPPES UpdateNovember 12, 20202 updates tracked since enumeration
NPPES CertifiedNovember 12, 2020
✔ NPI 1154970366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Also ListedDentist · General PracticeTaxonomy 1223G0001X
2041 PEPPER LN, Pueblo, CO 81005
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Other Names 1

Doing Business AsImplant & Periodontic Specialists Of Pueblo

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. RHIANNON L GALLEGOS RDH
Dental Hygienist
2041 PEPPER LN
PUEBLO, CO 81005
Pueblo County (719) 415-3400
PDSC PC
Dentist (General Practice)
2041 PEPPER LN
PUEBLO, CO 81005
Pueblo County (719) 564-6464
PAWEL R BIELECKI, DDS, PC
Dentist (General Practice)
2041 PEPPER LN
PUEBLO, CO 81005
Pueblo County (719) 696-9009
STEEL CITY DENTAL PLLC
Dentist
2041 PEPPER LN
PUEBLO, CO 81005
Pueblo County (719) 415-3400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eden Dental Pueblo PC's NPI number?

The NPI number for Eden Dental Pueblo PC is 1154970366. It was assigned to this organization in the NPPES registry on September 10, 2019. The provider is doing business as Implant & Periodontic Specialists Of Pueblo.

Where is Eden Dental Pueblo PC located?

Eden Dental Pueblo PC is located at 2041 Pepper Ln, Pueblo, CO 81005. The listed phone number is (719) 696-9009.

What is Eden Dental Pueblo PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Eden Dental Pueblo PC was last updated on November 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.